Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Hollywood Dermatology and Cosmetic Surgery Specialists, PLLC before sending sensitive documents. FaxFlow is not affiliated with this organization.
Hollywood Dermatology and Cosmetic Surgery Specialists, PLLC fax number
(954) 963-0378
Dermatology and Cosmetic Surgery
Used for: Medical records release/authorization, including releasing records (Authorization for Release of Medical Records)
Fax destination details
- Department
- Dermatology and Cosmetic Surgery
- Purpose
- Medical records release/authorization, including releasing records (Authorization for Release of Medical Records)
- Form
- Authorization for Release of Medical Records — Authorization for Release of Medical Records
- Address
- 3850 Hollywood Blvd, Ste 301, Hollywood, FL 33021-6745, United States
- Voice phone
- 954-961-1200
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete patient name, date of birth, and recipient information; specify records to be released, dates of service, and sign/date. The form instructs that records should be faxed to the provided recipient and includes multiple Hollywood office locations.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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